胸腔积液486例临床分析  

The clinical analysis of 486 cases of pleural effusion

作　　者：高堂玲[1] 陈云凤[1] 龙成琴[1] 

机构地区：[1]四川省成都市第一人民医院呼吸内科,610041

出　　处：《临床合理用药杂志》2009年第3期29-30,共2页Chinese Journal of Clinical Rational Drug Use

摘　　要：目的探讨胸腔积液的病因和诊断方法。方法回顾性分析486例胸腔积液住院患者的临床资料。结果486例病因依次为:结核(58.4%)、恶性肿瘤(24.5%)、心功能不全(3.5%)、肺炎或肺部感染(3.3%)、外伤(2.9%)。结核性胸腔积液以40岁以下患者为主,占77.3%;恶性胸腔积液以60岁以上患者居多,占60.0%。260例行血清癌胚抗原(CEA)检测恶性组高于良性组(P<0.01)。结论胸腔积液主要病因是结核和肿瘤,结核患者以青年居多,恶性肿瘤以老年患者居多。临床综合分析是判断病因的关键。Objective To investigate the etiologies and diagnostic methods of pleural effusion. Methods 486 cases of pleural effusion of patients clinical datas were investigated retrospectively. Results The etiology of 486 cases was as follows： tuberculosis （58.4%）, cancer （24.5%）, heart failure （3.5%）,pneumonia or pulmonary infection （3.3 percent）, trauma （2.9 percent）. Tuberculous pleural effusion occured mainly in patients under 40 years of age （77.3%）, and malignant pleural effusion in patients over 60 years of age（60%）. In 260 cases, carcinoembryonic antigen （CEA） detection of malignant group was higher than that of the benign group （P 〈 0.01 ）. Conclusion The major etiology of pleural effusion is tuberculosis and cancer, and tuberculosis especially in young-aged patients, malignant tumors mainly in elderly patients. Clinical comprehensive analysis is critical to determine the etiology of it.

关 键 词：胸腔积液 病因 临床资料 

分 类 号：R561.3[医药卫生—呼吸系统]